C HAPTER 53: V ITAMINS AND M INERALS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient with a history of alcohol abuse has been admitted for severe
weakness and malnutrition. The nurse will prepare to administer which
vitamin preparation to prevent Wernicke ’s encephalopathy?
a. Vitamin B3
b. Vitamin B1
c. Vitamin B6
d. Folic acid
ANS: B
Thiamine is necessary for the treatment of a variet y of thiamine
deficiencies, including Wernicke ’s encephalopathy. The other options
are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. Niacin is prescribed for a patient who has hyperlipidemia. The nurse
checks the patient ’s medical history, knowing that this medication is
contraindicated in which disorder?
a. Renal disease
b. Cardiac disease
c. Liver disease
, d. Diabetes mellitus
ANS: C
Niacin, unlike certain other B -complex vitamins, has additional
contraindications besides drug allergy. They include liver disease,
severe hypotension, arterial hemorrhage, and active peptic ulcer
disease. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient will be starting vitamin D supplements. The nurse reviews his
medical record for contraindications, including which condition?
a. Renal disease
b. Cardiac disease
c. Hypophosphatemia
d. There are no contraindications to vitamin D suppl ements
ANS: A
Contraindications to vitamin D products include known allergy to the
product, hypercalcemia, renal dysfunction, and hyperphosphatemia.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological In tegrit y: Pharmacological and
Parenteral Therapies
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient with a history of alcohol abuse has been admitted for severe
weakness and malnutrition. The nurse will prepare to administer which
vitamin preparation to prevent Wernicke ’s encephalopathy?
a. Vitamin B3
b. Vitamin B1
c. Vitamin B6
d. Folic acid
ANS: B
Thiamine is necessary for the treatment of a variet y of thiamine
deficiencies, including Wernicke ’s encephalopathy. The other options
are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. Niacin is prescribed for a patient who has hyperlipidemia. The nurse
checks the patient ’s medical history, knowing that this medication is
contraindicated in which disorder?
a. Renal disease
b. Cardiac disease
c. Liver disease
, d. Diabetes mellitus
ANS: C
Niacin, unlike certain other B -complex vitamins, has additional
contraindications besides drug allergy. They include liver disease,
severe hypotension, arterial hemorrhage, and active peptic ulcer
disease. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient will be starting vitamin D supplements. The nurse reviews his
medical record for contraindications, including which condition?
a. Renal disease
b. Cardiac disease
c. Hypophosphatemia
d. There are no contraindications to vitamin D suppl ements
ANS: A
Contraindications to vitamin D products include known allergy to the
product, hypercalcemia, renal dysfunction, and hyperphosphatemia.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological In tegrit y: Pharmacological and
Parenteral Therapies
